Organization Name: | MENDOCINO COUNTY |
NPI Number: | 1629107735 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENINE MILLER (BHRS DEPUTY DIRECTOR) |
Mailing Address: | 474 East Valley Street Willits |
State: | CA US |
Postal Code: | 95490 |
Phone Number: | 7074722300 |
Fax Number: | 7074722331 |
NPI Enumeration Date: | 03/05/2007 |
NPI Last Update Date: | 01/22/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0850X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Mental Health |
Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |